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A Patient's Guide to Stress Fracture of the Hip Introduction Stress fractures of the hip once most commonly affected military personnel who marched and ran day after day. Today, stress fractures of the hip are more common in athletes, especially distance runners. There are two types of stress fractures. Insufficiency fractures are breaks in abnormal bone under normal force. Fatigue fractures are breaks in normal bone that has been put under extreme force. Fatigue fractures are usually caused by new, strenuous, very repetitive activities, such as marching or distance running. Most stress fractures of the hip are fatigue fractures. The stress fractures this article refers to are fatigue fractures. This guide will help you understand
how a stress fracture develops
how doctors diagnose the condition
what treatment options are available
Anatomy What is a stress fracture, and what part of the hip is involved? The femur is the large bone in the thigh. The ball-shaped head of the femur fits into a...
Over the holidays, I barely watched the news or read a newspaper. However, one story got my full attention. The press reported on a recently published medical journal article that showed a possible link between the long term use of Proton Pump Inhibitors or PPIs and calcium absorption, leading to an increased incidence of hip fractures in adults. You might be more familiar with the brand names of the PPIs such as Nexium, Prevacid and Prilosec. Since many children routinely take PPI medications to treat Gastroesophageal Reflux, I knew this was an important study. I did receive a few emails from concerned parents about the study and I expect more to come in the next few days as everyone emerges from the holiday haze. First, Do NOT Panic! Remember that this is just one study and it is likely that more research is needed to confirm the link between PPIs and the risk of fractures. It is unclear if children will react to PPIs in the same way. Further, remember that elderly adults as a group ...
Doctors know displaced fractures of the femoral neck must be operated on. But what's the best method of treatment? Should the bones get reset and pinned together with screws? Is it better to remove the top part of the broken bone and replace it with a partial joint replacement? Maybe a complete hip joint replacement works best. These are the comparisons made in this study from the Department of Orthopedic Surgery at the Lahey Clinic Medical Center (Burlington, Massachusetts). Doctors there compared two groups of patients. The first group had 120 patients who were treated for displaced hip fracture with internal fixation. The second group had 66 patients treated with partial or full joint replacement. A displaced hip fracture means the bone is broken and separated. Internal fixation is a way to line up the two pieces of bone and hold them together with screws until healing takes place. Partial hip replacement is called hemiarthroplasty . Usually the head, neck, and upper part of the thigh ...
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